Many health insurance policies require 24 hours mandatory hospitalization. However, there are several companies covering Out Patient Department or OPD expenses via the base Mediclaim policy. Some companies offer it as an optional rider on extra premium payment.

Health insurance policies do not reimburse medical costs from day 1. The standard waiting period is 30 days and this may vary between insurers. If you require treatment during this period, you cannot claim reimbursement…

The IRDA directs insurance companies to allow health insurance portability from one insurer to another without loss of renewal credit for benefits enjoyed in the existing policy. This is limited to the extent of the…

Policyholder’s age, medical history, affordability and coverage required determine the sum insured. If the policyholder can afford it, he can go in for a higher sum insured. Annual income will determine the riders and benefits…

This depends on who is issuing the policy, your age, medical history, cover opted for and affordability. While Mediclaim policies are renewable annually, health insurance plans are renewable after a longer period based on the…

Health insurance policies are available to individuals and groups. Individuals can opt for individual or family floater plans to cover their dependents comprising of a spouse, unmarried/ legally adopted/ step children aged between 91days to…

For pre-hospitalization, expenses up to 30 days before hospitalization are covered, based on the doctor’s diagnosis and recommendations including the cost of health exams and tests and doctor’s fees. Post hospitalization refers to medical expenses…

As with any industry, health insurance is competitive and almost all insurers offer a bouquet of benefits and incentives in terms of caps and sub-limits, claim settlement, a scope of coverage, renewability, and hospital network…

Pre-authorization is when the insured or network hospital approaches the insurer or its TPA for authorization of planned or emergency hospitalization for cashless treatment or enhancement of treatment costs. The TPA checks details of the…